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Year : 2020  |  Volume : 8  |  Issue : 1  |  Page : 16-21

Bone mineral density measurement in traumatic distal end radius fractures: A case–control study

Department of Orthopedics, MGIMS, Sewagram, Maharashtra, India

Correspondence Address:
Dr. Ankur Dilip Kariya
Quarter Number 6, Vivekanada Colony, Type 3, Dean Office Campus, MGIMS, Sewagram, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joas.joas_43_19

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INTRODUCTION: Osteoporosis is a global problem affecting over 200 million people worldwide. After a first osteoporotic fracture, there is an increased risk of a second fracture. Around 20% of patients experience a second fracture within 1 year of the first fracture. Early diagnosis of osteoporosis and its treatment after a fragility fracture are, therefore, very important interventions that can help in reducing the socioeconomic burden of osteoporosis. In this article, we present a case–control study of bone mineral density (BMD) in 100 cases of distal end radius fractures and matched controls. MATERIALS AND METHODS: One hundred patients with distal end radius fracture and 100 age- and sex-matched controls were selected based on predetermined selection criteria. All selected individuals were investigated for serum calcium, Vitamin D, and alkaline phosphatase. BMD was measured at calcaneum and distal radius. Data analysis was done to determine the strength of association between various parameters and BMD in cases and controls. RESULTS: The prevalence of osteoporosis was higher in age >45 years (35%) as compared to age <45 years (8%). Osteoporosis was higher in females (65%) with Distal end radius fractures (DER) fractures compared to males (33%). There was a significant association between serum Vitamin D, alkaline phosphatase, and BMD. The presence of DER fracture (39%) had a significant association with osteoporosis as compared to controls (17%). CONCLUSION: There is a significant association between increasing age, female sex, Vitamin D deficiency, high alkaline phosphatase, presence of DER fracture, and osteoporosis.

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